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新冠疫情与患者安全文化:约旦社区药房的横断面研究

The COVID-19 Pandemic and Patient Safety Culture: A Cross-Sectional Study among Community Pharmacies in Jordan.

作者信息

Abu Assab Mohammad, Jaber Deema, Basheer Haneen, Abu Assab Hanadi, Al-Atram Haya

机构信息

Department of Clinical Pharmacy, Faculty of Pharmacy, Zarqa University, Zarqa 13110, Jordan.

Al-Jalodi Pharmacy, Al-Mafraq 25110, Jordan.

出版信息

Healthcare (Basel). 2022 Jul 30;10(8):1434. doi: 10.3390/healthcare10081434.

Abstract

The COVID-19 pandemic has dramatically imposed stressful conditions that may impact the ability of healthcare staff to provide safe and effective care. Research on patient safety culture among community pharmacies during the pandemic is limited. This study aimed to assess the patient safety culture among community pharmacies in Jordan during the COVID-19 pandemic. Pharmacists and pharmacy assistants from 450 community pharmacies were approached through online means, with 378 answering the questionnaire written in Arabic that had been adapted from the Community Pharmacy Survey on Patient Safety Culture (PSOPSC). This study showed that various patient safety standards were addressed to a high degree during the COVID-19 pandemic, as represented by the high positive response rate (PRR) measures that were mainly observed in the dimensions "Teamwork" (90.1%), "Patient Counseling" (85.2%), and "Staff Training and Skills" (82.7%). Furthermore, significantly higher PRR scores for the "Teamwork", "Staffing, Work Pressure, and Pace", "Response to Mistakes", "Organizational Learning-Continuous Improvement", and "Overall Perceptions of Patient Safety" dimensions were observed among participants who worked in independent pharmacies than those who worked in chain pharmacies. Despite an overall positive patient safety culture in the current context of community pharmacies in Jordan during the COVID-19 pandemic, pitfalls were observed in the "Staffing, Work Pressure, and Pace" dimension.

摘要

新冠疫情极大地带来了压力环境,这可能会影响医护人员提供安全有效护理的能力。关于疫情期间社区药房患者安全文化的研究有限。本研究旨在评估新冠疫情期间约旦社区药房的患者安全文化。通过线上方式联系了450家社区药房的药剂师和药房助理,有378人回答了从《社区药房患者安全文化调查问卷》(PSOPSC)改编而来的阿拉伯语问卷。本研究表明,在新冠疫情期间,各种患者安全标准得到了高度落实,这体现在高积极回应率(PRR)指标上,这些指标主要出现在“团队合作”(90.1%)、“患者咨询”(85.2%)和“员工培训与技能”(82.7%)维度。此外,在独立药房工作的参与者在“团队合作”、“人员配备、工作压力和节奏”、“对错误的应对”、“组织学习 - 持续改进”以及“对患者安全的总体认知”维度上的PRR得分显著高于在连锁药房工作的参与者。尽管在新冠疫情期间约旦社区药房当前背景下患者安全文化总体积极,但在“人员配备、工作压力和节奏”维度上仍存在问题。

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